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Oregon rates for HCPCS 77054

Mammary Ductogram Or Galactogram Multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.05 / $155.31 / $173.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.68 / $92.56 / $187.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.69 / $636.79 / $835.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.07 / $147.16 / $209.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.13 / $162.77 / $188.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.58 / $127.10 / $216.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.50 / $129.60 / $220.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.11 / $137.13 / $164.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.50 / $168.06 / $217.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.69 / $159.90 / $201.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.85 / $782.93 / $962.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.89 / $153.72 / $196.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.18 / $100.84 / $213.97